Provider Demographics
NPI:1245785138
Name:LEE, ARIEL
Entity Type:Individual
Prefix:
First Name:ARIEL
Middle Name:
Last Name:LEE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1521 HALA DR
Mailing Address - Street 2:APT A
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-1864
Mailing Address - Country:US
Mailing Address - Phone:808-341-2516
Mailing Address - Fax:
Practice Address - Street 1:1521 HALA DR
Practice Address - Street 2:APT A
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-1864
Practice Address - Country:US
Practice Address - Phone:808-341-2516
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-20
Last Update Date:2016-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health